Title 42, The Public Health and WelfareRelease 119-73not60
§280c–3 Cooperative Agreements to States and Public Health Departments for Alzheimer’s Disease and Related Dementias
Title 42 › Chapter 6A— PUBLIC HEALTH SERVICE › Subchapter II— GENERAL POWERS AND DUTIES › Part K— Health Care Services in the Home and Public Health Programs for Dementia › Subpart ii— programs with respect to alzheimer’s disease and related dementias › § 280c–3
Summary
The Secretary must work with the CDC director and other agencies to give cooperative agreements to state, local, and tribal health departments to fight Alzheimer’s disease and related dementias. These grants must support proven public-health actions like teaching the public, finding and diagnosing cases early, lowering avoidable hospital stays, slowing cognitive decline, helping caregivers, planning and managing care, and other related activities the Secretary or CDC director choose. The Secretary must prefer applications that focus on health disparities and on areas or groups with the highest rates of these diseases. To get a grant, an applicant must send a plan that explains how it will start or grow programs, build partnerships, train the workforce, provide guidance and support, coordinate with federal, state, tribal, and local programs and other groups, and measure results. Grant recipients must provide 30 percent of the grant amount from non‑Federal sources (cash or in‑kind). The Secretary can waive all or part of that match for any fiscal year if it would cause serious hardship or prevent the work, including for rural, frontier, or tribal areas. The Secretary must avoid needless overlap with other HHS efforts, and grant money cannot pay for goods or services already paid or expected to be paid by insurance, other programs, or prepaid health providers.
Full Legal Text
Title 42, §280c–3
The Public Health and Welfare, Source: USLM XML via OLRC
(a)The Secretary, in coordination with the Director of the Centers for Disease Control and Prevention and the heads of other agencies, as appropriate, shall award cooperative agreements to health departments of States, political subdivisions of States, and Indian tribes and tribal organizations, to address Alzheimer’s disease and related dementias, including by reducing cognitive decline, helping meet the needs of caregivers, and addressing unique aspects of Alzheimer’s disease and related dementias to support the development and implementation of evidence-based interventions with respect to—
(1)educating and informing the public, based on evidence-based public health research and data, about Alzheimer’s disease and related dementias;
(2)supporting early detection and diagnosis;
(3)reducing the risk of potentially avoidable hospitalizations for individuals with Alzheimer’s disease and related dementias;
(4)reducing the risk of cognitive decline and cognitive impairment associated with Alzheimer’s disease and related dementias;
(5)improving support to meet the needs of caregivers of individuals with Alzheimer’s disease and related dementias;
(6)supporting care planning and management for individuals with Alzheimer’s disease and related dementias.11 So in original. The period probably should be “; and”.
(7)supporting other relevant activities identified by the Secretary or the Director of the Centers for Disease Control and Prevention, as appropriate 22 So in original. Probably should be followed by a period.
(b)In awarding cooperative agreements under this section, the Secretary shall give preference to applications that focus on addressing health disparities, including populations and geographic areas that have the highest prevalence of Alzheimer’s disease and related dementias.
(c)To be eligible to receive a cooperative agreement under this section, an eligible entity (pursuant to subsection (a)) shall prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including a plan that describes—
(1)how the applicant proposes to develop or expand, programs to educate individuals through partnership engagement, workforce development, guidance and support for programmatic efforts, and evaluation with respect to Alzheimer’s disease and related dementias, and in the case of a cooperative agreement under this section, how the applicant proposes to support other relevant activities identified by the Secretary or Director of the Centers for Disease Control and Prevention, as appropriate.
(2)the manner in which the applicant will coordinate with Federal, tribal, and State programs related to Alzheimer’s disease and related dementias, and appropriate State, tribal, and local agencies, as well as other relevant public and private organizations or agencies; and
(3)the manner in which the applicant will evaluate the effectiveness of any program carried out under the cooperative agreement.
(d)Each health department that is awarded a cooperative agreement under subsection (a) shall provide, from non-Federal sources, an amount equal to 30 percent of the amount provided under such agreement (which may be provided in cash or in-kind) to carry out the activities supported by the cooperative agreement.
(e)The Secretary may waive all or part of the matching requirement described in subsection (d) for any fiscal year for a health department of a State, political subdivision of a State, or Indian tribe and tribal organization (including those located in a rural area or frontier area), if the Secretary determines that applying such matching requirement would result in serious hardship or an inability to carry out the purposes of the cooperative agreement awarded to such health department of a State, political subdivision of a State, or Indian tribe and tribal organization.
(f)The Secretary shall ensure that activities under any cooperative agreement awarded under this subpart do not unnecessarily duplicate efforts of other agencies and offices within the Department of Health and Human Services related to—
(1)activities of centers of excellence with respect to Alzheimer’s disease and related dementias described in section 280c–4 of this title; and
(2)activities of public health departments with respect to Alzheimer’s disease and related dementias described in this section.
(g)A State may not make payments from a cooperative agreement under subsection (a) for any item or service to the extent that payment has been made, or can reasonably be expected to be made, with respect to such item or service—
(1)under any State compensation program, under an insurance policy, or under any Federal or State health benefits program; or
(2)by an entity that provides health services on a prepaid basis.
Legislative History
Notes & Related Subsidiaries
Editorial Notes
Prior Provisions
A prior section 398 of act
July 1, 1944, ch. 373, title III, formerly § 399a, as added Oct. 22, 1965, Pub. L. 89–291, § 2, 79 Stat. 1066; renumbered § 399, Mar. 13, 1970, Pub. L. 91–212, § 10(c)(3), 84 Stat. 67; renumbered § 398,
July 23, 1974, Pub. L. 93–353, title II, § 204, 88 Stat. 373, which related to the continuing availability of appropriated funds, was classified to section 280b–10 of this title, prior to repeal by Pub. L. 99–158, § 3(b), Nov. 20, 1985, 99 Stat. 879.
Amendments
2018—Pub. L. 115–406, § 3(1), substituted “Cooperative agreements to States and public health departments for Alzheimer’s disease and related dementias” for “Establishment of program” in section catchline. Subsec. (a). Pub. L. 115–406, § 3(2), added subsec. (a) and struck out former subsec. (a) which provided that the Secretary would make grants to States for planning, establishing, and operating programs to provide care to Alzheimer’s patients. Subsecs. (b) to (e). Pub. L. 115–406, § 3(3), (5), added subsecs. (b) to (e) and struck out former subsec. (b). Prior to amendment, text of subsec. (b) read as follows: “The Secretary may not make a grant under subsection (a) to a State unless the State agrees to expend not less than 50 percent of the grant for the provision of services described in subsection (a)(2).” Former subsec. (c) redesignated (g). Subsec. (f). Pub. L. 115–406, § 3(7), which directed adding subsec. (f) at the end of the section, was executed by adding subsec. (f) before subsec. (g) as redesignated by Pub. L. 115–406, § 3(4), to reflect the probable intent of Congress. Subsec. (g). Pub. L. 115–406, § 3(6), which directed amendment of “subsection (f) (as so redesignated)” by substituting “cooperative agreement” for “grant”, was executed by making the substitution in introductory provisions of subsec. (g) as redesignated, to reflect the probable intent of Congress. See below. Pub. L. 115–406, § 3(4), redesignated subsec. (c) as (g). 1998—Subsec. (a). Pub. L. 105–392, § 302(a)(1), struck out “not less than 5, and not more than 15,” after “shall make” in introductory provisions. Subsec. (a)(2). Pub. L. 105–392, § 302(a)(2), inserted “who are living in single family homes or in congregate settings” after “disorders” and struck out “and” at end. Subsec. (a)(3), (4). Pub. L. 105–392, § 302(a)(3), (4), added par. (3) and redesignated former par. (3) as (4). 1990—Subsec. (a). Pub. L. 101–557, § 102(a), substituted “shall make not less than 5, and not more than 15, grants” for “shall make not less than 3, and not more than 5, grants”. Subsec. (a)(1). Pub. L. 101–557, § 102(b), substituted “with public and private organizations” for “by public and private organizations”.
Statutory Notes and Related Subsidiaries
Effective Date
Section effective Oct. 1, 1987, see section 701(a) of Pub. L. 100–175, set out as an
Effective Date
of 1987 Amendment note under section 3001 of this title.
Reference
Citations & Metadata
Citation
42 U.S.C. § 280c–3
Title 42, The Public Health and Welfare
Last Updated
Apr 5, 2026
Release point: 119-73not60